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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1981-8-27
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pubmed:abstractText |
Although intravenous phenobarbital loading is effective in barbiturate withdrawal, controlled infusions of a drug are inconvenient. To develop a practical and more widely applicable method, oral loading doses of phenobarbital were given to 21 barbiturate addicts, whose estimated mean daily intake of barbiturates was 1 gm (range 0.5 to 4 gm). Twelve had a past or present history of barbiturate withdrawal seizures. Phenobarbital was given orally at a rate of 120 mg/hr until a predetermined clinical end point of phenobarbital effect was achieved. This end point was the presence of at least three of the following: nystagmus, drowsiness, ataxia, dysarthria, or emotional lability. The total phenobarbital loading dose (mean +/- SD) was 23.4 +/- 7.1 mg/kg, median phenobarbital concentration after loading was 35.9 mg/l (range 13.2 to 71.6 mg/l), and median half-life (t 1/2) of phenobarbital was 90 hr (range 38 to 240 hr). One patient with t 1/2 = 38 hr was given supplemental doses of phenobarbital. None developed seizures or other evidence of barbiturate withdrawal.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0009-9236
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
30
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
71-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7237901-Administration, Oral,
pubmed-meshheading:7237901-Adolescent,
pubmed-meshheading:7237901-Adult,
pubmed-meshheading:7237901-Aged,
pubmed-meshheading:7237901-Barbiturates,
pubmed-meshheading:7237901-Female,
pubmed-meshheading:7237901-Half-Life,
pubmed-meshheading:7237901-Humans,
pubmed-meshheading:7237901-Hypnotics and Sedatives,
pubmed-meshheading:7237901-Male,
pubmed-meshheading:7237901-Middle Aged,
pubmed-meshheading:7237901-Phenobarbital,
pubmed-meshheading:7237901-Substance Withdrawal Syndrome,
pubmed-meshheading:7237901-Substance-Related Disorders
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pubmed:year |
1981
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pubmed:articleTitle |
Barbiturate and hypnosedative withdrawal by a multiple oral phenobarbital loading dose technique.
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pubmed:publicationType |
Journal Article
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